| NPI | 1386083020 |
|---|---|
| Doing Business As | INTERMED SOURCE |
| Entity Type | Organization |
| Authorized Contact | OLGA BOTEZAT Administrator 770-722-3565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: GA 044-R-0427) |
| Enumeration Date | 2013-06-16 |
| Last Update Date | 2013-06-16 |